氯胺酮相关性泌尿系统损害MSCT表现及文献复习.pdfVIP

垫堑堂塞壁!!!!生!!旦笙!!鲞箜!!塑曼!!!!!￡翌型堡：塑!!!!!!：y!!!!：盥!：!! 1237 ● 腹部影像学 ● 氯胺酮相关性泌尿系统损害MSCT表现及文献复习 喻汉华，彭俊红 【摘要】目的：探讨滥用氯胺酮所致泌尿系统损害的MSCT表现。方法：回顾性分析5例有吸食氯胺酮病史(2～4 年)患者的泌尿系统MSCT平扫、增强扫描及CT尿路成像资料，分析其影像学特征。结果：5例患者CT平扫示双肾体积 增大，双肾积水并肾孟输尿管移行段扩张，双侧(4例)或单侧(1例)输尿管壁增厚，膀胱壁不规则增厚、客积减小，3例精囊 腺肿胀，膀胱精囊三角显示不清；增强扫描示双侧(4例)或单侧(1例)输尿管管壁全程均匀性增厚强化、管壁僵硬，双侧输 尿管和膀胱未见对比剂充盈。结论：吸食氟胺酮所致泌尿系统损害具有典型的影像学表现，MSCT能揭示病变的特征，结 合临床资料及病史可正确诊断。 【关键词】 氯胺酮；药物滥用；泌尿系损害；体层摄影术，X线计算机 【中国分类号1R814．42；R445．3【文献标识码】A【文章编号】1000—0313(2009)11—1237—03 YUHan-hua． Multi—sliceCTCharacteristicsofKetamine-associated andReviewofLiterature UrinarySystemDysfunction PENG of ofWuhan。Wuhan430034，P．R．China Jun-hong．DepartmentRadiology，theOrthopedicsHospital the of manifestationsofketamineassociated [Abstract]Objective：Toknowledgeimaging urinarysystemdys— improve function．Methods：The enhancedmulti-sliceCT(MSCT)aswellasCT of5 with pre-andpost-contrast urographypatients 2～4 ofketaminewere ofthe5 showedbilateral yearshistory analyzed．Results：Allpatients kidney taking retrospectively anddilationofrenal ofbilateral(n一4)orunilater— enlargement，bilateralhydronephrosis pelvic—uretericjunction，thickening of wallandreductionofbladder vesicles al(n一1)ureteralthickeningbladder volume．Moreover，seminal wall．irregular and ofvesicle in3 were onCTwithoutcontrastadministration．Onenhanced swellingblurring trianglepatientsdispla